Facility Evaluation Report

Licensing Program Analysts (LPAs) Norman Woodridge and Jenifer Tirre conducted a case management visit at the facility to follow up regarding incident reported on Thursday, October 14, 2021. Upon arrival, LPAs informed Staff 1 (S1) of the purpose of the visit and were granted entry into the building. LPAs and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, bathrooms, and kitchen.

LPAs met with administrator, Dante Encarnacion (AD) and observed the following:

LPAs observed clients engaging in activities and a welfare check was conducted. LPAs observed a 2-day supply of perishables and a 7-day supply of nonperishables. LPAs observed sufficient PPE and a supply of hygiene products for clients including shampoo, toothpaste, and shaving cream. LPAs checked client bedrooms and bathrooms. LPAs reviewed files, provided technical assistance, and interviewed AD about the incident reported on October 14, 2021. LPAs secured staff roster, client roster, physician reports, and a discharge report.

An exit interview was conducted with AD and a copy of this report was provided.